Booth, Dennis Joseph

Booth, Dennis Joseph is an individual health care provider with primary practice located at 16061 Doctors Blvd Ste B, Hammond LA 70403-1479. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Booth, Dennis Joseph can be contacted via phone (985) 542-1334.

Contact Information

Primary practice address
16061 Doctors Blvd Ste B Hammond LA 70403-1479
Phone: (985) 542-1334
Fax: (985) 318-1005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022550 Louisiana

Profile Details

NPI number 1639174741
LBN Legal business name Booth, Dennis Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639174741 NPPES
Louisiana MEDICAID 1490385

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